Wilms' tumor: Difference between revisions

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**Avoid vigorous palpation to prevent capsular rupture
**Avoid vigorous palpation to prevent capsular rupture
*Patient often appears well
*Patient often appears well
*Less frequent features include [[abdominal pain (peds)|abdominal pain]], [[hematuria (peds)|hematuria]], [[fever (Peds)|fever]], anorexia, [[nausea and vomiting (peds)|nausea/vomiting]], [[hypertension]]<ref>https://www.merckmanuals.com/professional/pediatrics/pediatric-cancers/wilms-tumor</ref>


==Differential Diagnosis==
==Differential Diagnosis==
*[[Neuroblastoma]]
*[[neuroblastoma (peds)|Neuroblastoma]]


==Evaluation==
==Evaluation==
*Ultrasound or CT
*[[ultrasound: Abdomen|Ultrasound]] or CT
*CBC, chemistry, LFT, coags
*CBC, chemistry, [[LFTs]], coags


==Management==
==Management==
*Consult oncology/surgery
*Surgery, chemo, and/or radiation


==Disposition==
==Disposition==

Revision as of 19:34, 1 October 2019

Background

  • Affects children <10yr
  • Arises from persistent embryonal renal cells
  • 10-15% will have mets at presentation (lungs)
    Wilms.jpg

Clinical Features

Differential Diagnosis

Evaluation

Management

  • Consult oncology/surgery
  • Surgery, chemo, and/or radiation

Disposition

  • Admission

References